Individual provider Active NPI

Margaret Lynn Sauck, OTR

  • Pediatric Occupational Therapist
  • Hanover Park, IL
National Provider Identifier
1316069875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
056.000170 Issued in IL
Practice address
5401 Martin LN
Hanover Park, IL 60133-5116
Phone
(630) 370-0217
Fax
(630) 837-8337
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 056.000170 IL Primary

Addresses

Primary practice location

5401 Martin LN
Hanover Park, IL 60133-5116

Mailing address

5401 Martin LN
Hanover Park, IL 60133-5116
Phone (630) 370-0217

Other identifiers 2

IdentifierTypeStateIssuer
2322694OtherILUNITED HEALTH CARE
2232792OtherILBLUE CROSS BLUE SHEILD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
056.000170ILMDPediatric Occupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316069875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 MARTIN LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335116",
            "telephone_number": "630-370-0217",
            "fax_number": "630-837-8337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 MARTIN LN",
            "city": "HANOVER PARK",
            "state": "IL",
            "postal_code": "601335116",
            "telephone_number": "630-370-0217",
            "fax_number": "630-837-8337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCK",
        "first_name": "MARGARET",
        "middle_name": "LYNN",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056.000170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2322694",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "2232792",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.